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14D0890247 CLIA NUMBER - RESIDENTIAL HOME HEALTH RESIDENTIAL HOME HEALTH ILLINOIS, LLC

Laboratory Demographics

CLIA Number: 14D0890247

Facility Name: RESIDENTIAL HOME HEALTH RESIDENTIAL HOME HEALTH ILLINOIS, LLC

Facility Address:
1900 E GOLF RD - STE 200
SCHAUMBURG, IL
ZIP 60173
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Facility Phone Number: 866 902-4000

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1528026168

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 14D0890247
LAB Type Home Health Agency
Facility Name RESIDENTIAL HOME HEALTH RESIDENTIAL HOME HEALTH ILLINOIS, LLC
Street 1900 E GOLF RD - STE 200
City SCHAUMBURG
State IL
ZIP 60173
Phone 866 902-4000
CertificateType 4
CertificateEffectiveDate 8/15/2022
CertificateExpirationDate 8/14/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024